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Medical Claims Processor Jobs (NOW HIRING)

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...

Sidecar Health

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

About the Role The Claims Processor is responsible for accurately reviewing, validating, and entering medical claims information in accordance with Sidecar Health policies and processing guidelines.

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a ...

CornerStone Staffing

Claims Processor

Carmel, IN · On-site

$18/hr

Job Title Claims Processor Location Carmel, IN | Onsite Compensation & Schedule • Pay: $18/hour • Hours: Monday-Friday, 8-hour shift with lunch break; flexible start times between 7:00am-8:00am ...

Connecticut Counseling Centers, Inc

Be Seen First

Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...

Urgent

Connecticut Counseling Centers, Inc

Be Seen First

Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...

Urgent

Crystal Stairs

Claims Processor

Los Angeles, CA · On-site

$25 - $28/hr

Provider Services - Claims Processor 100% Onsite - Location: Los Angeles, CA 90056 What We're ... Medical/ Dental/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program

Zenith American Solutions, Inc.

Claims Processor

$17.50 - $22/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

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Medical Claims Processor information

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How much do medical claims processor jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What are some common challenges faced by Medical Claims Processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What Is a Medical Claims Processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a Medical Claims Processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

What are the key skills and qualifications needed to thrive as a Medical Claims Processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What cities are hiring for Medical Claims Processor jobs? Cities with the most Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
Who are the top companies hiring for Medical Claims Processor jobs? The top employers for Medical Claims Processor jobs are:
What states have the most Medical Claims Processor jobs? States with the most job openings for Medical Claims Processor jobs include:
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Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 11% Full Time, 55% Part Time, 1% Temporary, 27% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
AP CLAIMS PROCESSOR

AP CLAIMS PROCESSOR

Lutheran Services Carolinas

Salisbury, NC • On-site

$15.25 - $19.50/hr

Full-time

Posted 23 days ago

Job description

The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and processes. This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims submission has been adjudicated, the claim will be processed through the accounts payable system.


Essential Functions:
1. Follow procedures to pay, return, or deny claims. Prepares the draft for payment and verifies that payment has been made.
2. Reviews and resolves discrepancies in a timely manner.
3. Establishes a working relationship with billing providers, members, and internal staff.
4. Rejects or accepts authorization documentation, determines benefit due, and starts the denial or payment process to resolve medical claims.
5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed.
6. Researches and processes claims according to business regulations, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
7. Resolves system edits, audits, and claims errors through research and use of approved references and investigative sources.
8. Coordinates with internal departments to work edits and deferrals, updating the patient identification, health insurance, provider identification, and other files as necessary.
9. Pays all properly adjudicated claims.
10. Maintains claims files.
11. Records 1099 form at each calendar year.
12. Other duties as assigned.
 

Education: High School Graduate (Required). BA/BS degree (Preferred).
Experience: Experience in accounts payables and/or claims processing (Preferred)


Specific skills/abilities:
• Excellent computer skills and experience in the Microsoft Office Suite
• Excellent organizational and time management
• Strong communication skills and the ability to work with various internal and external
parties to process claims and billing issues.
• Detail oriented
• Interpersonal skills
• Data entry skills
• Capability to manage confidential and proprietary information.
 

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